| NPI | 1184773368 |
|---|---|
| Other Name | LPA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARTER Billing Supervisor 517-337-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-02-03 |